Kaufman John A, Goldman Zachary E, Sharpe J Danielle, Wolkin Amy F, Gribble Matthew O
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
J Environ Psychol. 2019 Oct;65. doi: 10.1016/j.jenvp.2019.101329. Epub 2019 Jul 29.
Prior studies of oil spills have reported adverse impacts on mental health, but have not examined some potentially important moderators. In this cross-sectional analysis of n=38,361 responses to the 2010-2011 Gulf States Population Survey, we assessed the association of direct oil contact with depression severity following the Deepwater Horizon oil spill, and modification by self-mastery, emotional support, and cleanup participation using Tobit regression models accounting for the complex survey design. Oil contact was associated with increased depression severity. Among respondents with oil contact, depression was more severe for those reporting lower self-mastery. However, respondents with oil contact had lower depression severity if they participated in cleanup efforts, compared to exposed individuals who did not participate. This potential protective effect was larger for respondents with lower self-mastery. Our results are consistent with the notion that participation in recovery efforts may reduce depressive symptoms following oil spills among impacted individuals.
此前关于石油泄漏的研究报告了其对心理健康的不利影响,但尚未考察一些潜在的重要调节因素。在这项对2010 - 2011年海湾国家人口调查中n = 38361份回复的横断面分析中,我们评估了在深水地平线石油泄漏事件后直接接触石油与抑郁严重程度之间的关联,并使用考虑了复杂调查设计的托比特回归模型,研究了自我掌控、情感支持和参与清理工作对这种关联的调节作用。接触石油与抑郁严重程度增加有关。在有石油接触的受访者中,自我掌控能力较低者的抑郁症状更严重。然而,与未参与清理工作的受影响个体相比,参与清理工作的有石油接触的受访者抑郁严重程度较低。这种潜在的保护作用在自我掌控能力较低的受访者中更大。我们的结果与以下观点一致,即参与恢复工作可能会减轻受影响个体在石油泄漏后的抑郁症状。